1. Integrating Family Planning in Community- based Maternal and Newborn Care in Bangladesh Presented by: Nazmul Kabir Date: 2 nd December, 2011

2. MaMoni: Integrated Safe Motherhood, Newborn Care and Family Planning Project

3. 12345 67 89 p1 p2p3p4p5p6 D IFA Supplementation ANC1 TT ANC2 ANC4 TT ANC3 Pregnancy identification Misoprostol Clean delivery and immediate newborn care PP maternal care, Vit A and management of complications Essential newborn care/KMC Management of newborn complications Immunization Postnatal session promoting LAM, spacing, PoP, FP, transition ARI, CDD, EPI Supply of PoP, transition to modern method, Supply of FP methods Integrated maternal, newborn care, child health and family planning package Birth preparedness HW counseling AMTSL & referral for EmOC Exclusive breastfeeding and promotion of LAM/PPFP

4. Capacity building Govt staff NGO staff Health staff FP staff Training on integrated MNH- FP package including injectable contraceptive administration A pool of trainers developed from both Health and FP department Area of integration: Capacity Building

5. Service delivery Facility level Household level customized MNH- FP counseling during bi-monthly visits and at facilities by Govt and NGO workers Short term method distribution Injectable administeringInjectable administering Community Clinic- Health staff (HA) preserve FP commodities of FP staff (FWA) and distribute to the clients. EPI session- HA promote EBF/LAM Sub District and District health complex- Health staff also provide FP services Area of integration: Service Delivery Administering of injectable Contraceptive by MaMoni CHW

6. Community Action Groups (CAGs) formed: 1904 Area of integration: Community Mobilization Issue identification and set priorities Plan togetherAct together Evaluate together Organize community for action MNH FP

7. Reinforced key behavior change issues at community level through community action groups...

8. Micro- planning meeting at unit level: FP staff (FWA) Health staff (HA) Update info Status check 100% Reach vulnerables Action planning Govt staff NGO staff Joint visit System Strengthening Out put: Increase coverage Increase quality Out put: Increase coverage Increase quality Community Volunteer NGO staff (CHW)

9. Microplanning

10. Source: BDHS, 2007 Baseline survey, Sep’10 Progress Assessment’ April’11 CPR in Sylhet - Modern Method Progress measure …

11. Percentage of pregnancy status at Sylhet Source: Baseline survey, Sep’10 Progress Assessment’ April’11 Progress measure …

12. Trend of LAPM Performances MaMoni (Before 8 months) CYP=30785, Average= 450 MaMoni (After 8 months) CYP=57875, Average= 1000 Source: GoB District report, MIS-5, Sylhet Progress measure

13. Issues and Challenges: In practice limiting emphasized rather spacing Male involvement is minimum Record keeping and MIS system PoP is not in Govt supply channel

14. Adopting PPFP Adapted early HFS experiences of PPFP EBF, LAM Incorporated in MNH-FP package Added IYCF-Peer approach Promoting HTSP through community action groups

15. Birth Spacing picture card

17. Thank You